Creams  are 30 grams or 20 grams when indicated (standard creams)
Patient specific creams are 15g, 30g, and 60g
 
Hydroquinone 5%, Tretinoin 0.1%, Hydrocortisone 2.5%, Ascorbic Acid 2%
Tretinoin 0.05%/Hyaluronic Ac 0.1% crm 20gm tube
Hydroquin 4%/Tretin 0.05%/Hydrocort 2%
Ascorbic / Hyaluronic / Kojic (2/0.5/5%) Cream *20 GM Tube*
Tretinoin 0.1%/Hyaluronic Ac 0.5% Crm
Hydroquin / Tretin / Kojic Ac / Hydrocort (6%/ 0.25%/ 4% / 0.05%) Crm *20gm Tube
Hydroquin / Tret / Azelaic ac / Kojic / Hydrocort (8%/0.1%/15%/4%/1%) Crm
Hydroquinone 5%, Tretinoin 0.1%, Dexamethasone 0.1% Crm (20gm Tube)
 
Our medical grade combination products are here to address your skin concerns:
Some conditions that people with black skin may experience include:

acne, which includes pimples, whiteheads, and blackheads
changes in pigmentation, which causes areas of discoloration
contact dermatitis, or inflammation that occurs from contact with an irritant or allergen
eczema, a skin condition that causes itchy, dry, and cracked skin
seborrheic dermatitis, which appears as scaly patches on the scalp and face
Kojic acid is a chemical produced from different types of fungi. It is also a by-product of fermented soy sauce and rice wine.
Benefits
The benefits of using products containing kojic acid may include the following:
Anti-aging effect: Products containing kojic acid may lighten the skin, which can improve the appearance of age spots and sun damage. The reduction of dark spots can have an anti-aging effect.
Treat melasma: Kojic acid may also be helpful in decreasing melasma, which is darkening of the skin due to pregnancy.
Decrease the appearance of scars: Kojic acid may also reduce the discoloration of scars. Although the acid does not improve the thickness of scar tissue, it may reduce dark pigmentation associated with certain types of scars. Lightening the scar may make it less noticeable.
Antifungal benefits: Kojic acid is also thought to have some antifungal benefits. It may be helpful in preventing and treating certain fungal infections, such as athlete’s foot and yeast infections.
Antibacterial effects: Kojic acid may also provide antibacterial benefits. It may help decrease the chances of developing common types of bacterial skin infections.
Azelaic acid is a naturally occurring acid found in grains such as barley, wheat, and rye.
It has antimicrobial and anti-inflammatory properties, which make it effective in the treatment of skin conditions like acne and rosacea. The acid can prevent future outbreaks and clean bacteria from your pores that causes acne.
Azelaic acid is applied to your skin and is available in gel, foam, and cream form. Azelex and Finacea are two brand names for prescription topical preparations. They contain 15 percent or more of azelaic acid. Some over-the-counter products contain smaller amounts.
Because it takes some time to take effect, azelaic acid by itself isn’t typically a dermatologist’s first choice for treating acne. The acid also has some side effects, such as skin burning, dryness, and peeling. Keep reading to find out everything you need to know about using azelaic acid for acne.

Uses of azelaic acid for acne
Azelaic acid works by:
clearing your pores of bacteria that may be causing irritation or breakouts
reducing inflammation so acne becomes less visible, less red, and less irritated
gently encouraging cell turnover so your skin heals more quickly and scarring is minimized
Azelaic acid can be used in gel, foam, or cream form. All forms have the same basic instructions for use:
Wash the affected area thoroughly with warm water and pat dry. Use a cleanser or mild soap to make sure the area is clean.
Wash your hands before applying the medication.
Apply a small amount of medication to the affected area, rub it in, and let it dry completely.
Once the medication has dried, you can apply cosmetics. There’s no need to cover or bandage your skin.
Keep in mind that you should avoid using astringents or “deep-cleansing” cleansers while you use azelaic acid.
Some people will need to apply the medication twice per day, but this will vary according to a doctor’s instructions.
Azelaic acid for acne scars
Some people use azelaic to treat acne scarring in addition to active outbreaks. Azelaic acid encourages cell turnover, which is a way to reduce how severe scarring appears.
It also prevents what’s known as melanin synthesis, the ability of your skin to produce pigments that can vary your skin’s tone.
If you’ve tried other topical medications to help with scarring or blemishes that’re slow to heal, azelaic acid might help. More research is needed to understand who this treatment works best for and how effective it can be.
Azelaic acid side effects and precautions
Azelaic acid can cause side effects, including:
burning or tingling on your skinpeeling skin at the site of applicationskin dryness or rednessLess-common side effects include:
blistering or flaking skin
irritation and swelling
tightness or pain in your joints
hives and itching
fever
difficulty breathing
If you experience any of these side effects, stop using azelaic acid and see a doctor.
Azelaic acid for hyperpigmentation
After a breakout, inflammation can result in hyperpigmentation on some areas of your skin. Azelaic acid stops discolored skin cells from populating.
A pilot study from 2011 showed azelaic acid can treat acne while evening out hyperpigmentation triggered by acne. Further research on skin of color has also shown that azelaic acid is safe and beneficial for this use.
Azelaic acid for skin lightening
The same property that makes azelaic acid effective for the treatment of inflammatory hyperpigmentation also enables it to lighten skin that’s discolored by melanin.
Using azelaic acid for skin lightening in patchy or blotchy areas of your skin due to melanin has been found effective
Azelaic acid for rosaceaAzelaic acid can reduce inflammation, making it an effective treatment for symptoms of rosacea. Clinical studies demonstrate that azelaic acid gel can continually improve the appearance of swelling and visible blood vessels caused by rosacea.
Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders. It is also used as a test for an adrenal gland disorder (Cushing's syndrome).Dexamethasone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions.
Hydrocortisone is a steroid (corticosteroid) medicine. It works by calming down your body's immune response to reduce pain, itching and swelling (inflammation). It can also be used as hormone replacement for people who do not have enough of the natural stress hormone, cortisol.
Prednisone and dexamethasone are also synthetic glucocorticoids. Prednisone is 4 to 5 times more potent than hydrocortisone and has a longer duration of action, perhaps 12 hours or more. Dexamethasone is 40 to 50 times more potent than hydrocortisone and even longer-acting, 18 to 24 hours.